We're no stranger to Chris Brown's hot tempered blow ups, which first made the headlines when he beat up Rihanna, rendering her face black and blue. Ever since, it's been one brush with the law after another. To recap:

• February, 2009: Assaults then-girlfriend Rihanna on the eve of the Grammys. He pleaded guilty and was sentenced to five years’ probation and 1,400 hours of community service.

• March, 2011: Flew into a rage during an interview on Good Morning America. He picked up a chair and threw it into a window, sending shards of glass into Time Square.

• June, 2012: Brown and fellow superstar Drake engaged in a bottle-throwing altercation at a SoHo club over Rihanna, who they both have dated.

• March, 2013: At a charity event when the valet attendant asked for the $10 charge (the same charge for every car present), Brown flew into an obscene-laced, verbal tirade. Eventually, someone from his entourage paid the $10 and got him out of there.

• May, 2013: Charged with hit-and-run. He was released when the other driver refused to file criminal charges.

• October 29, 2013: Arrested, along with a bodyguard, in Washington, DC for assault. He was released from jail the next day.

• November 2, 2013: Checked into an unnamed Malibu rehab center for anger management, arguably to avoid jail time. He signed a contract with the facility, promising to refrain from violence while there. Two weeks later he was kicked out because of a violent rage.

• November 20, 2013: With attorney Mark Geragos at his side, Brown was sentenced to court-mandated in-patient anger management rehab. So far, revocation of Brown's probation has not been sought.

I’ve never heard of someone getting kicked out of anger management because of anger….but, the question remains, does Brown have a psychiatric problem or is he merely a spoiled brat?

The diagnosis that could fit is intermittent explosive disorder (IED), defined by DSM as extreme anger and uncontrollable rage when unwarranted. Often, these outbursts cause injury or property damage. Some examples of IED are temper tantrums, throwing and/or breaking things, punching holes in a wall, road rage and domestic violence.

We are not talking about anger, per se. Anger is not a psychiatric disorder. Rather the key to IED is that the degree of anger exhibited is grossly out of proportion to the given stressor.

Just as I discuss in “Inside The Mind of OJ Simpson” Brown has a sense of entitlement and feels the rules just don’t apply to him. Another example: “George Zimmerman Is Arrested Again”. All of these guys rate high on the narcissism scale and when they don’t get their way, they get angry……pathologically angry.

So does brown have IED? It doesn’t matter. IED is just a fancy term to describe a pathologically bad temper and out of control anger. Any of these can treated with therapy, possibly medication, rehab or all three. But, it is extremely difficult to treat for many of the same reasons that addiction is. The person has to acknowledge a problem and want to get help before they have any chance of improving. It’s clear Brown has not reached that point yet. Until he does, expect more of the same.

It might be too little, too late for Brown to remain out of prison. He has been given permission to fly to Washington, D.C. for his criminal assault hearing against the would-be photo-bomber. The L.A. judge has requested a report from this hearing. With this latest show of destructive, dangerous and angry behavior, the courts may decide enough is enough. Prison may be the only thing left to get his attention.

About the Author

Dr. Dale Archer

Dale Archer, M.D., is a clinical psychiatrist and the author of Better Than Normal: How What Makes You Different Can Make You Exceptional.

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